Evidence map›Paper›PMID 29268719›Full record

Trial reportBMC family practice2017

The effectiveness of a primary care nursing-led dietary intervention for prediabetes: a mixed methods pilot study.

Kirsten J Coppell, Sally L Abel, Trish Freer, Andrew Gray, Kiri Sharp, Joanna K Norton, Terrie Spedding, Lillian Ward, Lisa C Whitehead

Registry-linked trialOpen access · goldAbstract readControlled Clinical TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC family practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06067451 (Impact of SMART GOAL Setting Protocol on Body Weight and Metabolic Parameters in Children and Adolescents With Prediabetes; a Randomized Clinical Trial.), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06067451 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Impact of SMART GOAL Setting Protocol on Body Weight and Metabolic Parameters in Children and Adolescents With Prediabetes; a Randomized Clinical Trial.

TypeinterventionalSponsorNorthwell HealthRan2023 to 2025Enrolled80ConditionsPreDiabetes, Adolescent Obesity, Behavior, Health, Nutritional and Metabolic DiseasesArmsSMART GOALS Setting Tool/ Protocol
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Kirsten J CoppellEdgar Diabetes and Obesity Research, Department of Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand. kirsten.coppell@otago.ac.nz.ORCID 0000-0003-0996-2874
Sally L AbelKaupapa Consulting Ltd, Napier, 4110, New Zealand.
Trish FreerHealth Hawke's Bay - Te Oranga Hawke's Bay, PO Box 11141, Hastings, 4158, New Zealand.
Andrew GrayDepartment of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand.
Kiri SharpEdgar Diabetes and Obesity Research, Department of Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand.
Joanna K NortonEdgar Diabetes and Obesity Research, Department of Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand.
Terrie SpeddingHealth Hawke's Bay - Te Oranga Hawke's Bay, PO Box 11141, Hastings, 4158, New Zealand.
Lillian WardHealth Hawke's Bay - Te Oranga Hawke's Bay, PO Box 11141, Hastings, 4158, New Zealand.
Lisa C WhiteheadSchool of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, 6027, Australia.
University of Otago · NZHawke's Bay Hospital · NZEdith Cowan University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary care nurse-led prediabetes interventions are seldom reported. We examined the implementation and feasibility of a 6-month multilevel primary care nurse-led prediabetes lifestyle intervention compared with current practice in patients with prediabetes, with weight and glycated haemoglobin (HbA1c) as outcomes.

methodsThis study used a convergent mixed methods design involving a 6-month pragmatic non-randomised pilot study with a qualitative process evaluation, and was conducted in two neighbouring provincial cities in New Zealand, with indigenous Māori populations comprising 18.2% and 23.0%, respectively. Participants were non-pregnant adults aged ≤ 70 years with newly diagnosed prediabetes (HbA1c 41-49 mmol/mol), body mass index (BMI) ≥ 25 kg/m

resultsOne hundred fifty-seven patients with prediabetes enrolled (85 intervention, 72 control), 47.8% female and 31.2% Māori. Co-morbidities were common, particularly hypertension (49.7%), dyslipidaemia (40.1%) and gout (15.9%). Baseline and 6 month measures were available for 91% control and 79% intervention participants. After adjustment, the intervention group lost a mean 1.3 kg more than the control group (p < 0.001). Mean HbA1c, BMI and waist circumference decreased in the intervention group and increased in the control group, but differences were not statistically significant. Implementation fidelity was high, and it was feasible to implement the intervention in busy general practice settings. The intervention was highly acceptable to both patients and key stakeholders, especially primary care nurses.

conclusionsStudy findings confirm the feasibility and acceptability of primary care nurses providing structured dietary advice to patients with prediabetes in busy general practice settings. The small but potentially beneficial mean weight loss among the intervention group supports further investigation.

trial registrationANZCTR ACTRN12615000806561 . Registered 3 August 2015 (Retrospectively registered).

Indexed as

DietLife StylePatient Education as TopicPractice Patterns, Nurses'Primary Health CareAgedBody Mass IndexBody WeightCultural CompetencyExerciseFeasibility StudiesFemaleGlycated HemoglobinHumansMaleMiddle AgedGlycated Hemoglobinhemoglobin A1c protein, humanDietary modificationGeneral practiceIndigenous populationOutcome and process assessmentPragmatic clinical trialPrediabetesPrimary care nursingQualitative evaluationStructured intervention implementationWeight loss

Identifiers

PMID29268719
PMCPMC5740796
OpenAlexW2779783367

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.